Organization Active NPI

CMG Express Care, Inc

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1962746404
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A100752 Issued in CA
Legal business name
CMG EXPRESS CARE, INC
Practice address
4100 Central Ave
#101
Riverside, CA 92506-2933
Phone
(951) 824-7887
Fax
(951) 680-1606
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andro N Sharobiem, MD
Title
President
Phone
(951) 824-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A100752 CA Primary

Addresses

Primary practice location

4100 Central Ave
#101
Riverside, CA 92506-2933

Mailing address

4100 Central Ave
#101
Riverside, CA 92506-2933
Phone (951) 824-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130102000269 CA Part B Supplier - Clinic/Group Practice 4981857752 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6859 Magnolia Ave
Riverside, CA 92506
Phone (951) 824-7887

6859 Magnolia Ave
Ste 1
Riverside, CA 92506
Phone (951) 824-7887

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1962746404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "#101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062933",
            "telephone_number": "951-824-7887",
            "fax_number": "951-680-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "#101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062933",
            "telephone_number": "951-824-7887",
            "fax_number": "951-680-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMG EXPRESS CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "SHAROBIEM",
        "authorized_official_first_name": "ANDRO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-824-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.